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Consent form

Touch: a virtual reality intervention to support the process of change towards a more positive body image – Validation study


Consent form

Project funded by: Chaire de recherche du Canada en Cyberpsychologie Clinique, by the Fonds de recherche du Québec – Santé (FRQS), and by a SSHRC Institutional Grant (SSHRC-ICS) - Stream 1 - Exploration Grants.

Before you begin, we ask you to read the following consent form. By pressing the “Next” button, you agree to participate in this study according to mandates specified in this form. If you do not agree, you can simply close this page in your web navigator.

(This question is mandatory)

Consent formt

We hereby request your participation in this research project. The general objective of this project is to explore the cognitive-affective and perceptual aspects of body image among a community sample of women. Your participation in this research project consists in completing the following questionnaires on the web platform Lime Survey. The questionnaires proposed will explore different dimensions of your body image. It should take between 13 to 15 minutes to complete the online-based survey.

The confidentiality of the data collected in this research project will be ensured in accordance with the laws and regulations applicable in the province of Quebec and the regulations and policies of the Université du Québec en Outaouais*. Both the data collected, and the results of the research will in no way lead to your identification: the link you clicked to reach this page is completely anonymous, no normative information will be requested in the questionnaire and your IP address will not be tracked or recorded in our database.

The results will be published in a scientific paper and presented at conferences. They will be analyzed as a group and will not identify you. The Lime Survey server is hosted at the University of Quebec in Outaouais, thus reducing the risk of breach of confidentiality. Only members of the research team will have access to the data, which will be stored on the computers of the two principal investigators with an access code. The only people who will have access to them are the co-researchers and the principal investigator. They will be destroyed in five years using specialized data destruction software to erase all traces of them. The data will not be used for any purpose other than those described in this document.

Your participation in this research project is voluntary. You are entirely free to participate or not, to answer or not to answer the questions asked and to withdraw at any time without prejudice.

This research project presents a psychological risk that is above minimal. The risks to be considered in this study are associated with the emotional reactions experienced during the compilation of the questionnaire. If you feel uncomfortable, you may withdraw from the study at any time without harm or consequence. If you have any questions and/or needs, you may contact the researchers and references to appropriate resources will be provided, including:

  • Info-santé 8-1-1
  • Centre d’aide 24/7, phone: 819-595-9999
  • Distress Center of Ottawa, phone: 613-238-3311
  • Support groups offered by Anorexie et Boulimie Québec (ANEB):  https://anebquebec.com/
  • Listening and referral line for people suffering from an eating disorder or for those who have certain issues related to their diet and body image: For residents of the Montreal area: toll-free at 514 630-0907; For residents of regions outside of Montreal: toll-free at 1 800 630-0907.
  • La Maison l'Éclaircie: a community organization working with people with eating disorders that offers free services. http://www.maisoneclaircie.qc.ca/index.html
  • Telephone listening service offered by La Maison l'Éclaircie. This service is available Monday to Friday from 9:00 a.m. to 12:00 p.m. and from 1:00 a.m. to 5:00 p.m. For Quebec City residents: 1-866-900-1076

There is no monetary compensation for your participation in this research. However, you will have the satisfaction of helping us advance scientific knowledge about body image.


If you have any questions about this research project or wish to withdraw your data, contact principal investigator, Giulia Corno, (819) 595-3900, ext. 2531, giulia.corno@uqo.ca or corg06@uqo.ca, or the research director, Stéphane Bouchard (819) 595-3900, ext. 2360, stephane.bouchard@uqo.ca


If you have any questions regarding ethical aspects of this project, please contact André Durivage, (819) 595-3900, ext. 1781, andre.durivage@uqo.ca, president of the Research Ethics Committee of the Université du Québec en Outaouais.


By clicking on “next”, you will attest that you have clearly understood the information concerning your participation in the research project and indicates that you agree to participate. It does not mean that you agree to relinquish your rights or to release the researchers or those in charge from their legal or professional responsibilities. You are free to withdraw from the research project at any time without prejudice. Because your participation must be as informed as your initial decision to participate in the project, you must be fully aware of all the ins and outs of the research project as it unfolds. Therefore, you should never hesitate to ask for clarification or new information during the project.

By clicking on the “next” button, I acknowledge that I have read the information regarding my participation in this research project, and I freely agree to participate.

*Your research date may be consulted by authorized UQO personnel, in accordance with the Regulations governing the use of computer and telecommunications resources, particularly for control and verification purposes.


This questionnaire is anonymous.

The record of your answers to this questionnaire does not contain any information that could identify you, unless explicitly requested by one of the questions.


If you have used a code to access this questionnaire, please be assured that no information regarding this code can be recorded with your answers. It is managed on a separate basis where it will only be indicated that you have (or have not) completed this questionnaire. There is no way to match your code to answer on this questionnaire.


This project has been approved by the UQO Research Ethics Committee.